Leading Risk-Bearing, Value-Based Home Care Services Provider and Post-Acute Care Management Company
Provide all the services and technology required to enable patients to remain in their home through a fully-integrated model across three core lines of service – homecare, home medical equipment (“DME/HME”) and home infusion / pharmacy – while also matching patients to the right site of care.
UM and Case Management ( Peer to Peer reviews, establishing and implementing/using nationally recognized guidelines (i.e. IQ, Milliman)
2nd Level Appeals Review
Identifying trends in delivery of covered services, reduce overutilization, costs and improve outcomes
Knowledge of Benefit and innovative clinical, quality and Home Care program design
Assisting in Network Development and Maintain Relationships with Providers and Clients
Grow professionally within the company.
Home Based Services , SNF Post Acute care management preferred
Health Plan Quality , UM, Peer to Peer, Population Health and Chronic Care Mgt. Preferred
Medical Doctor or Doctor of Osteopathy; Active FL License or Ability to Obtain
Board Certification or Equivalent in IM, Geriatrics, Emergency Medicine,, Rehab or Family Practice Preferred
5 Years Clinical Practice of Adult Patients
Diplomatic, Collaborative Communication and Listening Skills
Additional Salary Information: Bonus and rich benefits offered
Internal Number: 010
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